FORM 1023-EZ for CALIFORNIA SOCIETY OF PHYSIOLOGISTS

Field Data
EIN 82-2112408
Case Number EO-2017198-000361
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CALIFORNIA SOCIETY OF PHYSIOLOGISTS
Organization’s Mailing Address 5200 N LAKE RD SCH NAT SCI UCMERCED
City MERCED
State CA
ZIP 95343
Accounting period End 12
Primary contact name ALICIA A MCDONOUGH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RUDY ORTIZ
PRESIDENT
2668 SEAL CT
MERCED CA 95340

Officer/Director/Trustee Two

KIM BARRETT
SECRETARY
1521 GOLDEN GATE DR
SAN DIEGO CA 92116

Officer/Director/Trustee Three

ALICIA MCDONOUGH
TREASURER
1340 MARIANNA RD
PASADENA CA 91105

Officer/Director/Trustee Four

MARTHA ODONNELL
COUNCILOR
418 CITADEL DR
DAVIS CA 95616

Organization’s website
Organization’s email CALSOCPHYSIOL@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/7/2017
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code U03 - Professional Societies, Associations
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
Scientific: Yes
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee No
Donation of funds No
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance No
One Third Support Public No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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